期刊文章I JMIR出版物互联网为暴露于创伤事件的个体提供早期干预:卡塔尔世界杯8强波胆分析系统综述%A Ennis,Naomi %A Sijercic,Iris %A Monson,Candice M %+瑞尔森大学心理学系，多伦多维多利亚街350号，ON, m5b2k3，加拿大，1 4169795000 ext 6209, candice.monson@psych.ryerson.ca %K心理创伤%K二级预防%K创伤和应激相关障碍%K互联网%D 2018 %7 14.11.2018 %9综述%J医学互联网Res %G英语%X背景:超过75%的人遭受过创伤性事件的影响，还有相当一部分人在他们的一生中经历了可能是慢性和有害的心理健康问题。早期干预有望预防精神病理后的创伤;然而，面对面的干预可能代价高昂，而且获得这种形式的护理存在许多障碍。目的:本研究的目的是系统回顾创伤暴露个体的网络早期干预研究。方法:在PsycINFO和PubMed上检索1991 - 2017年发表的论文。符合以下标准的论文被纳入:(1)描述了基于网络的干预，并应用于暴露于创伤事件的个体;(2)作者指出，干预旨在在创伤暴露后早期应用或作为一种预防性干预;(3)描述了干预前后心理健康症状的数据(不管这些是否是主要结果)。 Methodological quality of included studies was assessed using the Downs and Black checklist. Results: The interventions in the 7 studies identified were categorized as selected (ie, delivered to an entire sample after trauma regardless of psychopathology symptoms) or indicated (ie, delivered to those endorsing some level of posttraumatic distress). Selected interventions did not produce significant symptom improvement compared with treatment-as-usual or no intervention control groups. However, indicated interventions yielded significant improvements over other active control conditions on mental health outcomes. Conclusions: Consistent with the notion that many experience natural recovery following trauma, results imply that indicated early internet-delivered interventions hold the most promise in future prevention efforts. More studies that use rigorous methods and clearly defined outcomes are needed to evaluate the efficacy of early internet-delivered interventions. Moreover, basic research on risk and resilience factors following trauma exposure is necessary to inform indicated internet-delivered interventions. %M 30429113 %R 10.2196/jmir.9795 %U //www.mybigtv.com/2018/11/e280/ %U https://doi.org/10.2196/jmir.9795 %U http://www.ncbi.nlm.nih.gov/pubmed/30429113